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0:00:06 > 0:00:11- Ysbyty Gwynedd, Bangor - is a busy yet homely place.
0:00:13 > 0:00:16- Its 530 beds and 3,500 staff...
0:00:16 > 0:00:21- ..serve the people - of North West Wales.
0:00:22 > 0:00:24- Every aspect of life is seen here.
0:00:25 > 0:00:29- Excitement at the Accident Unit, - joy at the Maternity Unit.
0:00:29 > 0:00:33- They treat sick children - and care for the elderly.
0:00:34 > 0:00:38- Operations, deaths and births...
0:00:38 > 0:00:41- ..cleaners, chefs, - maintenance workers...
0:00:42 > 0:00:44- ..and laughter.
0:00:44 > 0:00:48- This and more in Ysbyty Gwynedd.
0:01:07 > 0:01:10- It's 5am as Nigel Jones - arrives in the kitchen...
0:01:11 > 0:01:14- ..to start his job - as an Ysbyty Gwynedd cook.
0:01:21 > 0:01:24- The most important meal - is the first on the menu.
0:01:24 > 0:01:26- The orders have arrived.
0:01:27 > 0:01:32- We usually cook 500 breakfasts, - mostly porridge.
0:01:33 > 0:01:38- There are 500 breakfasts, - lunches and evening meals.
0:01:39 > 0:01:45- We cater for 1,500 a day, - seven days a week.
0:01:56 > 0:01:58- We're ready for breakfast.
0:01:58 > 0:02:03- It usually lasts an hour. - We finish at eight o'clock.
0:02:04 > 0:02:07- Then we start to prepare for lunch.
0:02:09 > 0:02:12- There are 67 kitchen staff.
0:02:12 > 0:02:18- Feeding the patients and - canteen customers is quite a feat.
0:02:22 > 0:02:26- Breakfast heads out to the wards.
0:02:26 > 0:02:31- There's no respite for the staff. - The lunch orders arrive.
0:02:31 > 0:02:33- The numbers are here.
0:02:33 > 0:02:37- There are 228 haddock...
0:02:38 > 0:02:42- ..53 cheese and potato pies...
0:02:42 > 0:02:45- ..25 beef salads, 22 coleslaw...
0:02:46 > 0:02:50- ..46 ham sandwiches, - 32 egg mayonnaise...
0:02:52 > 0:02:56- ..30 bread and butter, - 27 white bread and butter...
0:02:56 > 0:03:00- ..and 194 apple pie with custard.
0:03:01 > 0:03:02- It's getting busy!
0:03:10 > 0:03:12- Outside the theatre...
0:03:12 > 0:03:16- ..anaesthetists Dr Gareth Roberts - and Dr Ifan Rees...
0:03:16 > 0:03:19- ..prepare for a hernia operation.
0:03:20 > 0:03:24- There we are, Gordon. - This is the anaesthetic room.
0:03:25 > 0:03:30- As a consultant anaesthetist, there - are several aspects to my work.
0:03:31 > 0:03:36- We assess patients before surgery.
0:03:36 > 0:03:42- We explain the procedure - and the type of anaesthetic.
0:03:43 > 0:03:47- They are our responsibility - for the next 24 hours.
0:03:47 > 0:03:50- This is a local anaesthetic.
0:03:52 > 0:03:55- You'll feel a little scratch.
0:03:55 > 0:03:57- It's like being a chef...
0:03:58 > 0:04:01- ..we take - ingredients from the cupboard...
0:04:01 > 0:04:07- ..and prepare the best anaesthetic - for the patient.
0:04:08 > 0:04:09- A scratch now.
0:04:17 > 0:04:21- It's frightening to be put - to sleep before an operation.
0:04:21 > 0:04:26- The anaesthetist calms the patient - and explains the process.
0:04:28 > 0:04:30- Breathe the oxygen now.
0:04:31 > 0:04:33- That's it, in and out.
0:04:33 > 0:04:37- You'll feel yourself - falling to sleep.
0:04:41 > 0:04:43- The patient is asleep.
0:04:44 > 0:04:47- We continue administering - anaesthetic gas...
0:04:48 > 0:04:50- ..or he'd wake up - in 5 to 10 minutes.
0:05:01 > 0:05:06- One final check - on his blood pressure - it's OK.
0:05:09 > 0:05:14- Everything's fine, we can - go in to start the operation.
0:05:28 > 0:05:31- A clinic opens - at the Children's Unit.
0:05:31 > 0:05:34- Dr Mair Parry starts her duties.
0:05:35 > 0:05:39- I see children - with all sorts of ailments...
0:05:39 > 0:05:44- ..asthma, indigestion, walking - difficulties and constipation.
0:05:44 > 0:05:50- I also have specialist clinics, - but anything goes this morning.
0:05:50 > 0:05:56- In his letter, his doctor says - Ben finds it difficult to throw up.
0:05:56 > 0:06:02- Not all the time. I'm worried - because he once had reflux.
0:06:02 > 0:06:07- Are there periods when he isn't ill, - or is it always there?
0:06:07 > 0:06:13- It's always there, - but he doesn't do it every day.
0:06:13 > 0:06:17- He's eaten well for three weeks.
0:06:17 > 0:06:17- He wasn't sick at all?
0:06:17 > 0:06:18- He wasn't sick at all?- - No.
0:06:21 > 0:06:26- Rest your hand on his forehead. - Open your mouth, Ben.
0:06:27 > 0:06:30- He's a big boy! Great.
0:06:32 > 0:06:33- Good boy!
0:06:34 > 0:06:39- I like children - - you have to like children.
0:06:40 > 0:06:44- It's more fun and there's - greater variety from day to day.
0:06:45 > 0:06:49- I enjoy not knowing what - I'll see from day to day.
0:06:49 > 0:06:53- Children tend - to be more open and honest.
0:06:54 > 0:06:56- There are less agendas.
0:06:56 > 0:07:00- They say it how it is, - which I find easier.
0:07:00 > 0:07:02- They recover quicker.
0:07:02 > 0:07:07- The different fields of medicine - appeal to different personalities.
0:07:07 > 0:07:12- Paediatricians are impatient, - we want patients to recover.
0:07:12 > 0:07:16- I laugh every day - and not everyone can say that.
0:07:17 > 0:07:20- This is a prescription - for three months.
0:07:21 > 0:07:25- I'll want to see him halfway through - to see how he's coming along.
0:07:26 > 0:07:29- Lovely, great! Thank you.
0:07:30 > 0:07:33- Ta-ra!
0:07:45 > 0:07:49- Back in the kitchen, - lunch preparations are underway.
0:07:50 > 0:07:54- Nigel prepares meals that - have been designed for the hospital.
0:07:56 > 0:07:58- We've got - a book of standard recipes.
0:07:59 > 0:08:02- They've been created - for the kitchen.
0:08:03 > 0:08:07- I've followed the recipes over - the years so I know what to do.
0:08:10 > 0:08:15- Nigel wasn't a cook - when he first arrived.
0:08:15 > 0:08:19- I worked part-time - for Caernarfon County Council.
0:08:19 > 0:08:23- I asked a lad who worked here - if there were any vacancies.
0:08:24 > 0:08:28- I started off in the kitchen, - washing pans and cleaning.
0:08:29 > 0:08:32- I did that for thirteen years.
0:08:33 > 0:08:35- A manager had the idea...
0:08:36 > 0:08:41- ..that all of the kitchen - staff should learn to cook.
0:08:41 > 0:08:46- I went to college, and I've - been a cook for almost ten years.
0:08:46 > 0:08:49- I'm still enjoying it.
0:08:51 > 0:08:53- Two hours after breakfast...
0:08:54 > 0:08:58- ..500 lunches - are ready to go upstairs...
0:08:58 > 0:09:01- ..to the wards and canteen.
0:09:05 > 0:09:08- We're ready to set up - on the conveyor belt.
0:09:09 > 0:09:11- The food will leave at 11.15am.
0:09:16 > 0:09:18- The operation is going well.
0:09:18 > 0:09:22- The anaesthetists ensure - the patient is comfortable.
0:09:24 > 0:09:27- While surgeons work on the hernia...
0:09:28 > 0:09:31- ..they keep an eye - on the sleeping patient.
0:09:32 > 0:09:35- We look out - for a couple of things...
0:09:37 > 0:09:38- ..blood pressure...
0:09:39 > 0:09:40- ..his heartbeat...
0:09:40 > 0:09:46- ..the gasses we use - and what's coming out.
0:09:47 > 0:09:51- It's stable at the moment.
0:09:52 > 0:09:56- It's going alright, so far.
0:10:01 > 0:10:04- After 17 years in anaesthetics...
0:10:04 > 0:10:08- ..I've seen horrendous things.
0:10:08 > 0:10:12- We occasionally - see horrible things...
0:10:12 > 0:10:18- ..for instance the aftermath - of a serious car accident.
0:10:28 > 0:10:31- With five minutes - to go to lunchtime...
0:10:31 > 0:10:34- ..Nigel hurries - to finish the food orders.
0:10:34 > 0:10:38- Cooking for patients - brings its own unique challenges.
0:10:38 > 0:10:41- The most stressful job is the diet.
0:10:41 > 0:10:44- We cater for diabetics...
0:10:45 > 0:10:48- ..and cook food - that's gluten free and dairy free.
0:10:48 > 0:10:53- Dairy free is tricky because - milk is in almost everything.
0:10:54 > 0:10:58- There are also - the low-potassium diets.
0:10:58 > 0:11:03- If you're on nights, it's not bad. - You have until 5.00pm to get ready.
0:11:03 > 0:11:07- The morning shift - get their cards at 10.00am...
0:11:07 > 0:11:10- ..and only until 11.15am - to finish everything.
0:11:11 > 0:11:14- Even though - it's a hospital kitchen...
0:11:14 > 0:11:18- ..the cooks take - their work as seriously as any chef.
0:11:18 > 0:11:21- The patients have high expectations.
0:11:21 > 0:11:25- Luckily, - everything is going smoothly.
0:11:25 > 0:11:30- I'm relieved everything's OK. - I hope we don't get any complaints!
0:11:47 > 0:11:50- In part two, - a crisis in the Call Centre.
0:11:51 > 0:11:54- A detailed discussion about faeces.
0:11:55 > 0:11:57- Will they wake Mr Jones?
0:11:57 > 0:11:59- Will they wake Mr Jones?- - Mr Jones!
0:11:59 > 0:12:01- Mr Jones!
0:12:01 > 0:12:01- .
0:12:04 > 0:12:04- Subtitles
0:12:04 > 0:12:06- Subtitles- - Subtitles
0:12:16 > 0:12:21- The Outpatients Reception is one - of the hospital's busiest areas.
0:12:21 > 0:12:24- The staff - are on hand to greet the public...
0:12:25 > 0:12:29- ..after they've arrived - for their appointments.
0:12:29 > 0:12:31- Hello, Outpatients.
0:12:31 > 0:12:35- The patients arrive and we enter - their names in the computer.
0:12:36 > 0:12:40- We send them to the clinics - and show them where to go.
0:12:42 > 0:12:47- They return and we arrange - a follow-up appointment...
0:12:48 > 0:12:54- ..using whatever documentation - the doctors or clinics gave them.
0:12:58 > 0:13:02- Some of the patients - are awkward customers.
0:13:03 > 0:13:06- They can be nasty.
0:13:06 > 0:13:12- A few months ago, I half expected - a patient to hit me with his stick!
0:13:13 > 0:13:16- I try my best - because it's nobody's fault.
0:13:17 > 0:13:20- Often, clinics get cancelled.
0:13:20 > 0:13:24- The doctors are not supermen.
0:13:24 > 0:13:26- We all get ill.
0:13:26 > 0:13:30- If the appointment clerks - haven't had a chance...
0:13:30 > 0:13:36- ..to tell them the clinic - is cancelled, we get the blame.
0:13:36 > 0:13:40- Good people skills are essential.
0:13:40 > 0:13:43- Everybody's in a hurry - to see the doctor.
0:13:44 > 0:13:47- Some patients arrive - two hours early.
0:13:47 > 0:13:52- We can't book them into - the afternoon clinic until 1.30pm.
0:13:52 > 0:13:54- That causes problems!
0:13:55 > 0:13:59- I get angry, - but it's part of my job.
0:14:00 > 0:14:03- I have to be professional - and carry on.
0:14:04 > 0:14:10- I like chatting to patients - and having a laugh with them.
0:14:10 > 0:14:14- They're frightened when they arrive.
0:14:15 > 0:14:19- I want to make them feel - as relaxed as possible.
0:14:19 > 0:14:25- Many of the patients return to the - same clinic, so we get to know them.
0:14:25 > 0:14:28- That's nice because - they remember us, too.
0:14:29 > 0:14:34- It's impossible for us - to remember 500 faces every day.
0:14:35 > 0:14:39- It's easier - for patients to remember one face.
0:14:53 > 0:14:56- Mr Gordon Jones - is having a hernia removed.
0:14:56 > 0:14:59- The surgery - can take up to three hours.
0:15:00 > 0:15:05- It's vital the anaesthetic - lasts throughout the operation.
0:15:05 > 0:15:10- We're two thirds of the way - through the operation.
0:15:10 > 0:15:13- While he's under the anaesthetic...
0:15:14 > 0:15:17- ..we maintain - his blood pressure levels.
0:15:17 > 0:15:23- We use a drug to paralyze - the patient during surgery.
0:15:24 > 0:15:27- We gave him a dose at the start...
0:15:27 > 0:15:32- ..and we keep on giving him - doses throughout the operation.
0:15:34 > 0:15:37- The surgeons - have finished their work.
0:15:38 > 0:15:43- The anaesthetists must make sure - the patient wakes safely.
0:15:43 > 0:15:48- We've switched the anaesthetic off.
0:15:49 > 0:15:53- The neuromuscular drug is reversed.
0:15:54 > 0:15:58- Once he starts - to breathe and opens his eyes...
0:15:58 > 0:16:01- ..we'll remove the tube.
0:16:11 > 0:16:15- At the Children's Unit, - Dr Mair Parry is as busy as ever.
0:16:16 > 0:16:19- She treats - a child with a bowel condition.
0:16:20 > 0:16:25- Does she have accidents, - does she poo in her knickers?
0:16:25 > 0:16:26- Does that happen every day?
0:16:26 > 0:16:29- Does that happen every day?- - Almost every day.
0:16:31 > 0:16:35- Is there a lot of poo - or just a little?
0:16:36 > 0:16:39- Just a little.
0:16:39 > 0:16:41- Are they big, hard poos?
0:16:41 > 0:16:42- Are they big, hard poos?- - No.
0:16:42 > 0:16:45- Are there a lot of these?
0:16:47 > 0:16:52- The chart is incredibly handy.
0:16:52 > 0:16:57- Children and parents - don't like to discuss poos.
0:16:57 > 0:16:59- It's often part of the problem.
0:17:00 > 0:17:04- We use this lovely - Bristol Stool Chart.
0:17:04 > 0:17:09- We ask the children which poo - most resembles their poo.
0:17:10 > 0:17:14- I call the top one sheep poo, - which people around here understand.
0:17:15 > 0:17:18- They use the chart - to change the medicine dose.
0:17:18 > 0:17:23- Some need more than others. - It's unbelievably useful.
0:17:24 > 0:17:29- She doesn't realize that she needs - to go and she can't help it.
0:17:30 > 0:17:35- We need to get rid of these - so that the signals return.
0:17:37 > 0:17:40- The sad times are very rare.
0:17:40 > 0:17:45- Most of my day-to-day duties - make me happy.
0:17:45 > 0:17:50- I always say I earn my living - in the space of an hour a year.
0:17:51 > 0:17:55- There is one hour - when only I can solve the problem.
0:17:55 > 0:17:59- The rest of the time, - I'd do it for nothing.
0:18:00 > 0:18:03- Thank you, good girl! Ta-ra.
0:18:09 > 0:18:12- Mr Jones is breathing normally.
0:18:12 > 0:18:18- We'll wait for the anaesthetic - level in his brain to drop...
0:18:19 > 0:18:21- ..and he'll open his eyes.
0:18:22 > 0:18:25- Mr Jones, open your eyes, please!
0:18:34 > 0:18:36- Mr Jones.
0:18:37 > 0:18:38- Wake up, now.
0:18:43 > 0:18:44- Gordon!
0:18:45 > 0:18:46- Gordon!
0:18:49 > 0:18:52- It's over, you need to wake up!
0:18:55 > 0:18:57- It's time to wake up.
0:18:59 > 0:19:00- Mr Jones!
0:19:03 > 0:19:05- While Mr Jones sleeps...
0:19:06 > 0:19:09- ..the Call Centre staff - are busy on the phones.
0:19:10 > 0:19:13- Ysbyty Gwynedd Health Board.
0:19:13 > 0:19:17- Doctors - call to talk to consultants...
0:19:17 > 0:19:22- ..and we direct their calls.
0:19:23 > 0:19:27- It's a different job, - everyday is different.
0:19:30 > 0:19:33- You have to know - how to handle people.
0:19:34 > 0:19:38- I can't be bad-tempered. I want - to be angry, but it's not possible!
0:19:39 > 0:19:43- People are unhappy - if they can't get through.
0:19:43 > 0:19:46- They blame us, - but it's not our fault.
0:19:47 > 0:19:49- Most people are nice.
0:19:51 > 0:19:55- They know I have a job to do. - Ysbyty Gwynedd.
0:20:01 > 0:20:03- When they ask for a ward...
0:20:04 > 0:20:07- ..I have - to work out which ward they want.
0:20:08 > 0:20:13- I get a lot of that. - Prysor Ward becomes Prisor Ward.
0:20:13 > 0:20:16- Tryfan Ward is Triffin Ward.
0:20:16 > 0:20:20- I'm used to it - and I know which ward they want.
0:20:22 > 0:20:25- The staff - must be ready for anything.
0:20:25 > 0:20:26- PHONE
0:20:27 > 0:20:28- Emergency.
0:20:30 > 0:20:33- Sorry? - What's there, a cardiac arrest?
0:20:34 > 0:20:37- Cardiac arrest, - ground floor, eye clinic.
0:20:38 > 0:20:41- Cardiac arrest, - ground floor, eye clinic.
0:20:43 > 0:20:46- If there's - a cardiac arrest in hospital...
0:20:46 > 0:20:48- ..the emergency line rings.
0:20:49 > 0:20:53- We stop whatever we're doing - to deal with the emergency.
0:20:54 > 0:20:58- We log it - so at least we've done our job.
0:20:58 > 0:21:01- We also make a note of the time.
0:21:02 > 0:21:06- I never know what's going - to happen from one hour to the next.
0:21:07 > 0:21:11- I have to be ready for it. - Ysbyty Gwynedd Health Board.
0:21:12 > 0:21:15- A quick response - and expect the unexpected...
0:21:15 > 0:21:18- ..that's the life - of Ysbyty Gwynedd staff.
0:21:19 > 0:21:24- Part of the appeal of the work - is that everyday is different.
0:21:26 > 0:21:29- Mr Jones! Mr Jones!
0:21:31 > 0:21:35- And it helps to be patient, too!
0:21:35 > 0:21:37- Mr Jones.
0:21:38 > 0:21:42- Mr Jones, time to get up. - Open your eyes.
0:21:46 > 0:21:49- Mr Jones... ah, here you are!
0:21:53 > 0:21:57- I enjoy never knowing - what will come through the door.
0:21:59 > 0:22:03- That always makes - my heart beat faster!
0:22:04 > 0:22:07- We get called Guardians of Sleep.
0:22:07 > 0:22:11- We look after patients - while they're asleep.
0:22:12 > 0:22:15- People assume that's all we do.
0:22:15 > 0:22:19- It used to be said...
0:22:19 > 0:22:24- ..that people - opted to become anaesthetists...
0:22:24 > 0:22:26- ..to avoid talking to patients!
0:22:27 > 0:22:28- That's not true!
0:22:29 > 0:22:32- We treat them - before and after an operation.
0:22:37 > 0:22:41- On the next Ysbyty - - there's no bed for this sick baby...
0:22:42 > 0:22:44- ..maintenance work...
0:22:44 > 0:22:49- ..someone receives a new knee, - and rather unusual patients.
0:23:04 > 0:23:06- S4C Subtitles by Gwead
0:23:06 > 0:23:07- .